Bartender Entry Form

Entry deadline is October 10, 2014.

Email Address - make sure this is correct or we cannot get you entered *

Birthdate - Must be 21 years or older to enter *

Birthdate - Must be 21 years or older to enter

MM

DD

YYYY

Job Title *

Current Employer *

Employer Address / City / State / Zip *

Are you currently TABC certified? *

Yes

No

Bartending References

Do you have other bartending references/previous employment that you would like to share with us in order to increase your chances of getting to compete?

What else do you want us to know about you?

By clicking submit below, I verify that the above information is true and accurate.

Thank you for entering the Kiepersol Blindtending Bartender's Challenge. Shortly you will receive your bartender number via email and can start sharing with your customers and friends that you need their support to be a finalist.